JB KENOSHA HEALTHCARE LLC
NPI: 1205239001
· KENOSHA, WI 53140
· Skilled Nursing Facility
· NPI assigned 10/07/2014
$660.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINSON, BRIAN (MANAGER) |
| NPI Enumeration Date | 10/07/2014 |
Related Entities
Other providers sharing the same authorized official: LEVINSON, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
28 |
$250.00 |
| 2019 |
66 |
$410.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
94 |
32 |
$660.00 |